Chapter 188: 【188】Patient characteristics of neurosurgery
Chapter 188 [188] Characteristics of Neurosurgery Patients
The patient laughed when he heard this.
Just kidding and making the patient happy. Cao Yong next checked the male patient in his forties. He should tell him: "After leaving the hospital, go to the rehabilitation department and continue the rehabilitation training."
"I know, Dr. Cao. It's best not to see you again in the future, right?" The patient asked with a smile.
"You need to take good medicine and monitor blood pressure at home, don't do it this time." At this time, Cao Yong was nagging the patient like a mother.
Who said that the surgeon is fine after the operation, and the patient needs to continue to do the follow-up work. It's like a mother looking after her child.
This patient has almost recovered and can be discharged from the hospital. The bed should be freed up to accept new patients. Huang Zhilei made a note on the note, and then told the people below to write a discharge medical record and write a discharge doctor's order when he was discharged from the hospital. During this period, Cao Yong and the patient chatted a few times with a smile.
Seeing his handsome smiling face, Xie Wanying seemed to understand why he liked to laugh.
Because laughing can bring joy to patients. Brain surgery patients are not like other departments. Too many patients need later psychological adjustment. In the future, these patients will face a dysfunctional body for the rest of their lives. Therefore, brain surgery patients have the most depression patients.
After talking with patient No. 22, Cao Yong led his people to patient No. 23 and No. 24. After the operation, he was conscious but couldn't walk in bed.
Just came back to the department on the first day of the ward round, and Cao Yong personally performed a physical examination on the patient, so he was relieved.
The physical examination of neurosurgery has the characteristics of neurosurgery. To put it simply, the treatment is the brain, and the functions related to the brain are to be examined. For example, it is necessary to check how the patient speaks, eats, whether the head or face hurts, whether the limbs can move or not, and so on. These are popular explanations, in fact, a lot of professional terms.
There are muscle strength tests to detect limb dysfunction, to check the patient's conscious state, conscious state score, memory test, etc. Smell, vision, hearing, etc. seem to be ENT issues, but in fact, some neurosurgical diseases are involved, and they all need to be checked.
Hemiplegia patients often tend to stick their tongue to one side, and the patient's swallowing action is related to whether the patient can eat by himself. Difficulty swallowing must be given a gastric tube, otherwise the patient may suffocate.
Careful examination in all aspects is very important, and a single negligence may result in the death of the patient. Although these patients are inpatients, the comprehensive examination that should be done has been done early. Now the ward round is equivalent to a re-examination, which is relatively simple, but it is necessary to pay attention to the progress and outcome of the patient's condition.
The higher-level doctor is responsible for teaching. For example, if you have some spare time today, you can ask the medical students below to come up and do a physical examination for the patient, ask the medical students questions, and discuss a few words when the medical students answer the questions.
Today, Xie Wanying is in charge of holding the medical records behind her senior brother. She has held eleven medical record books since she and her senior brother came out of the ward.
It should be that Senior Brother Huang intends to exercise her, and the fact that she is doing ward rounds with medical records was originally a job done by medical students. However, the general medical record will be divided into several people to hold. Xie Wanying thought, it is estimated that Senior Brother Huang came here in the same way. He was trained to hold more than a dozen medical record books, so he trained her like a gourd.
Medical students carry the medical record book, so that it is convenient for the superior doctor to get the medical record in time when he needs to check the medical record. Therefore, Xie Wanying had to adjust the order of the medical records before and after each hospital bed was checked by the superior doctor, so that the superior doctor did not need to look for it anytime, anywhere, and the top medical record book she took in her hand was the one she wanted.
(end of this chapter)
